Summary The Fas receptor (APO-1/CD95) is capable of inducing apoptosis of lymphoid cells and is expressed in some non-Hodgkin's lymphomas (NHLs). Fas expression is up-regulated at the surface of normal B cells upon triggering of the CD40 receptor. In this report, we investigated the sensitivity of NHLs to Fas-mediated apoptosis induced by anti-Fas monoclonal antibodies (MAbs) and its possible modulation by CD40 ligation in 18 NHL biopsy samples of various histological subtypes. Flow cytometric analysis showed that the fraction of Fas-expressing lymphoma cells was highly variable from sample to sample (from 1% to 93%, mean value 46%). The frequency of apoptotic cells was not significantly increased upon treatment with an anti-Fas MAb compared with control MAb in the 18 NHL cases analysed. The sensitivity of lymphoma cells to Fas-mediated apoptosis was correlated neither with the histological subtypes nor with the level of Fas expression. Activation of neoplastic B cells by CD40 ligation resulted in significant increases in Fas expression and Fas-induced apoptosis among the five B-NHL cases tested. The overall increase in apoptotic rates was moderate and remained lower in tumour samples than in control CD40-activated normal tonsil B cells. Altogether, our results indicate that the sensitivity to Fas-induced apoptosis is null or weak in NHL cells, irrespective of their histological subtype, and that it can be increased to a moderate and variable degree by CD40 ligation on neoplastic B cells. This may be an impediment to the development of Fas-based therapies for NHLs.Keywords: Fas; CD95; apoptosis; CD40; non-Hodgkin's lymphoma; Apo2.7 antibody; 7A6 antigen Dysregulation of programmed cell death, or apoptosis, can lead to aberrant cell accumulation and is recognized as a possible cause of neoplasia (Korsmeyer, 1992). The contribution of apoptosis is crucial in the pathogenesis of some non-Hodgkin's lymphomas (NHLs), such as follicular B-cell NHLs. In this particular NHL type, expression of the Bcl-2 antiapoptotic protein is increased in up to 85% of cases, because of a rearrangement of the BCL-2 gene (Bakhshi et al, 1985).The possible influence of apoptosis abnormalities on the growth of other NHL types is still debated. One of the major pathways regulating apoptosis in lymphoid cells appears to be mediated by the Fas antigen (APO-l/CD95), a 45-kDa membrane protein belonging to the tumour necrosis factor receptor (TNFR) superfamily (Itoh et al, 1991;Oehm et al, 1992;Armitage, 1994). Mice deficient in Fas or its ligand (FasL) are known as Ipr and gld mice respectively (Watanabe-Fukunaga et al, 1992;Lynch et al, 1994). They develop massive lymphadenopathy, splenomegaly, B-cell activation and autoimmunity owing to unscheduled lymphocyte accumulation (Watanabe-Fukunaga et al, 1992;Lynch et al, 1994). In addition, Fas has also been demonstrated to act as a tumoursuppressor gene in some particular conditions (Peng et al, 1996).Fas is expressed in various human lymphoproliferations (M6ller et al, 1993; Xerri et al, 1995a)...